SOUTH SHORE MEDICAL CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SOUTH SHORE MEDICAL CENTER (EIN 04-2297845)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-15
- IRS object ID
- 202312279349305021
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-15T20:52:45-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 4200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 462045108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042297845 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH SHORE MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 7818785200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 143 LONGWATER DRIVE | AddressLine1Txt |
| City | NORWELL | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02061 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALLEN SMITH | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 7816248000 | PhoneNum |
| Signature | 2023-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ALLEN | PersonFirstNm |
| Person Last | SMITH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHAWNA M JANSONS | PreparerPersonNm |
| PTIN | P01222873 | PTIN |
| Phone | 3174648600 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALLEN SMITH MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 FOGG ROAD | AddressLine1Txt |
| City | SOUTH WEYMOUTH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02190 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $81,808,668 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SOUTHSHOREHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | SOUTH SHORE MEDICAL CENTER CARES FOR PATIENTS COMPASSIONATELY AND EFFECTIVELY, WITH THE HIGHEST MEDICAL AND ETHICAL STANDARDS. WE BUILD A BETTER FUTURE FOR THE COMMUNITIES WE SERVE THROUGH TEACHING, LEADERSHIP IN HEALTH CARE INNOVATION AND PHILANTHROPY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 809 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,939,950 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $74,531,177 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $80,625,406 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,067,430 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,505,182 | PYOtherRevenueAmt |
| CY Other Revenue | $1,172,835 | CYOtherRevenueAmt |
| PY Total Revenue | $83,043,739 | PYTotalRevenueAmt |
| CY Total Revenue | $81,798,241 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $65,365,768 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $67,515,262 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $21,628,531 | PYOtherExpensesAmt |
| CY Other Expenses | $21,018,759 | CYOtherExpensesAmt |
| PY Total Expenses | $86,994,299 | PYTotalExpensesAmt |
| CY Total Expenses | $88,534,021 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,950,560 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,735,780 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $68,415,013 | TotalAssetsBOYAmt |
| Total Assets EOY | $57,053,453 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $56,098,088 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $51,472,308 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,316,925 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,581,145 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SOUTH SHORE MEDICAL CENTER DELIVERS EFFECTIVE AND COMPASSIONATE PATIENT CARE WITH THE HIGHEST MEDICAL AND ETHICAL STANDARDS. WE BUILD A BETTER FUTURE FOR THE COMMUNITIES WE SERVE THROUGH TEACHING AND LEADERSHIP IN HEALTHCARE INNOVATION. YOUR HEALTH, OUR PASSION, ONE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $76,314,725 | ExpenseAmt |
| Revenue | $81,787,293 | RevenueAmt |
| Desc | SOUTH SHORE MEDICAL CENTER PROVIDED MEDICAL, PREVENTATIVE AND OTHER CLINICAL SERVICES TO ITS PATIENTS. THE ORGANIZATION WORKS TO IMPROVE THE QUALITY OF HEALTH CARE SERVICES PROVIDED TO PATIENTS IN SOUTHEASTERN MASSACHUSETTS THROUGH CLINICAL INTEGRATION AND THE IMPLEMENTATION OF A UNIFIED ELECTRONIC MEDICAL RECORDS SYSTEM. SOUTH SHORE MEDICAL CENTER PARTICIPATED IN EDUCATIONAL AND TRAINING PROGRAMS FOR MEDICAL STUDENTS AND MEDICAL RESIDENTS AND FOR OTHER HEALTHCARE PROFESSIONALS INCLUDING PHYSICIAN ASSISTANTS AND NURSES. | Desc |
| Total Program Service Expenses | $76,314,725 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 36 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 809 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALLEN SMITH MD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7816248000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 FOGG RD | AddressLine1Txt |
| City | SOUTH WEYMOUTH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01290 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ALLEN SMITH MD | ||||||||||
| PRESIDENT/CEO BEGINNING 1/1/21 | 0.50 | 44.00 | Yes (X) | Yes (X) | $0 | $1,051,339 | $182,578 | |||
| KIMBERLY DEVER MD | ||||||||||
| DIRECTOR, CHIEF OB/GYN | 0.50 | 43.00 | Yes (X) | $0 | $806,027 | $37,909 | ||||
| JUSTIN CAMPBELL | ||||||||||
| DIRECTOR | 0.50 | 4.00 | Yes (X) | $0 | $185,099 | $0 | ||||
| MICHAEL AYERS MD | ||||||||||
| CHAIR PROVIDER COU. THRU 12/31/21 | 0.50 | 44.00 | Yes (X) | $0 | $147,976 | $5,949 | ||||
| KENNETH KIRKLAND | ||||||||||
| CHAIR THROUGH 12/31/21 | 0.50 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| PAMELA O'LEARY | ||||||||||
| VC THRU 12/31/21 CHAIR AS OF 1/1/22 | 0.50 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| THOMAS MCCARTHY | ||||||||||
| DIRECTOR, VICE CHAIR AS OF 1/1/22 | 0.50 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ALAN MCKIM | ||||||||||
| DIRECTOR AS OF 1/1/21 | 0.50 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRADLEY SAMPSON | ||||||||||
| DIRECTOR AS OF 1/1/22 | 0.50 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHRISTOPHER ODDLEIFSON | ||||||||||
| DIRECTOR | 0.50 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| ELLEN ESSENFELD | ||||||||||
| DIRECTOR AS OF 1/1/21 | 0.50 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| HELEN GARVEY | ||||||||||
| DIRECTOR | 0.50 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| LINDA THOMPSON MPH DRPH RN FAAN | ||||||||||
| DIRECTOR | 0.50 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| LISA WALSH | ||||||||||
| DIRECTOR | 0.50 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL SHEEHAN | ||||||||||
| DIRECTOR AS OF 1/1/21 | 0.50 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL WANTANABE PHD | ||||||||||
| DIRECTOR | 0.50 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAULA L BECKER | ||||||||||
| DIRECTOR | 0.50 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT PINEAU | ||||||||||
| DIRECTOR THROUGH 12/31/21 | 0.50 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEPHEN COCO | ||||||||||
| TREASURER & CFO THROUGH 11/12/21 | 0.50 | 44.00 | Yes (X) | $0 | $918,235 | $25,066 | ||||
| JOSEPH R DRISCOLL ESQ | ||||||||||
| SECRETARY | 0.50 | 44.00 | Yes (X) | $0 | $460,273 | $32,578 | ||||
| MARY SHAUGHNESSY | ||||||||||
| TREAS. & CFO 11/13/21 THRU 6/13/22 | 0.50 | 44.00 | Yes (X) | $0 | $45,925 | $0 | ||||
| KRISTINE HANSCOM CPA MST CGMA | ||||||||||
| TREASURER & CFO AS OF 6/14/22 | 0.50 | 44.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID HALLE MD | ||||||||||
| AMBULATORY MEDICAL DIRECTOR | 40.00 | 1.00 | $490,913 | $0 | $32,578 | Yes (X) | ||||
| MICHAEL KAPLAN | ||||||||||
| VP OF FINANCE THROUGH 3/31/22 | 40.00 | 0.00 | $279,470 | $0 | $8,638 | Yes (X) | ||||
| SERGIO FEFER MD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $741,286 | $0 | $32,578 | Yes (X) | ||||
| YOUNG KIM MD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $649,909 | $0 | $25,429 | Yes (X) | ||||
| STEVEN STARR MD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $607,387 | $0 | $26,621 | Yes (X) | ||||
| KEITH TRACY MD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $570,210 | $0 | $32,578 | Yes (X) | ||||
| MATTHEW HJORT MD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $491,944 | $0 | $32,578 | Yes (X) | ||||
| PAMELA WHELTON | ||||||||||
| TREASURER THRU 8/22/17 | 0.00 | 0.00 | $0 | $388,647 | $302 | Yes (X) | ||||
| ROSE DIPIETRO | ||||||||||
| PRESIDENT/CEO THROUGH 12/31/20 | 0.50 | 44.00 | $0 | $326,869 | $3,806 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,831,119 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,330,390 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $479,188 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 111 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SOUTH SUBURBAN GASTROENTEROLOGY PC | |||||
| 1085 MAIN STREET | SOUTH WEYMOUTH | MA | 02190 | PHYSICIAN SERVICES | $1,570,119 |
| FOXROCK LONGWATER II REALTY LLC | |||||
| C/O BRUNO 57 OBERY ST STE 4 | PLYMOUTH | MA | 02360 | MANAGEMENT COMPANY | $684,049 |
| BOSTON UNIVERSITY DERMATOLOGY | |||||
| 609 ALBANY STREET ROOM J-100 | BOSTON | MA | 02118 | PHYSICIAN SERVICES | $536,711 |
| BEALE'S LLC | |||||
| PO BOX 143 | ACCORD | MA | 02018 | CLEANING SERVICES | $411,448 |
| HANCOCK FLAG REALTY LLC | |||||
| C/O FOXROCK PROPERTIES PO BOX 69 | QUINCY | MA | 02169 | MANAGEMENT COMPANY | $161,031 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SVCS. REV. | 621110 | $77,829,556 | $77,829,556 |
| PREMIUM REVENUE | 621110 | $2,795,850 | $2,795,850 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $80,625,406 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $21,375 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,427 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,948 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,948 | TotalRevenueColumnAmt |
| Exclusion | $10,948 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MACRA MEDICARE PAYMENT | 900099 | $370,802 | $370,802 |
| CCS PROVIDER ENGAGEMEN | 900099 | $277,054 | $277,054 |
| SMC UROLOGY | 900099 | $235,813 | $235,813 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $278,218 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $278,218 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,161,887 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $81,798,241 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $81,787,293 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,948 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $829,803 | TotalAmt |
| Program Services | $520,936 | ProgramServicesAmt |
| Management And General | $308,867 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,874,865 | TotalAmt |
| Program Services | $49,509,829 | ProgramServicesAmt |
| Management And General | $5,365,036 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,081,399 | TotalAmt |
| Program Services | $1,869,394 | ProgramServicesAmt |
| Management And General | $212,005 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,477,274 | TotalAmt |
| Program Services | $5,820,646 | ProgramServicesAmt |
| Management And General | $656,628 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,251,921 | TotalAmt |
| Program Services | $2,920,691 | ProgramServicesAmt |
| Management And General | $331,230 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,000 | TotalAmt |
| Management And General | $20,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,003,855 | TotalAmt |
| Program Services | $937,066 | ProgramServicesAmt |
| Management And General | $1,066,789 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,401 | TotalAmt |
| Management And General | $29,401 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,302,744 | TotalAmt |
| Program Services | $498,649 | ProgramServicesAmt |
| Management And General | $804,095 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,331 | TotalAmt |
| Management And General | $325,331 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,759,845 | TotalAmt |
| Program Services | $5,062,673 | ProgramServicesAmt |
| Management And General | $1,697,172 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93 | TotalAmt |
| Management And General | $93 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $676,863 | TotalAmt |
| Program Services | $676,619 | ProgramServicesAmt |
| Management And General | $244 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,229,334 | TotalAmt |
| Program Services | $717,039 | ProgramServicesAmt |
| Management And General | $512,295 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,486,824 | TotalAmt |
| Program Services | $1,229,934 | ProgramServicesAmt |
| Management And General | $256,890 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS & MED. SUPPLIES | $6,077,054 | $6,077,054 | |
| DUES | $301,303 | $301,303 | |
| EQUIP. MAINT. CONTRACT | $194,875 | $189,216 | $5,659 |
| REPAIRS | $181,745 | $181,745 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $429,492 | TotalAmt |
| Program Services | $284,979 | ProgramServicesAmt |
| Management And General | $144,513 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,534,021 | TotalAmt |
| Program Services | $76,314,725 | ProgramServicesAmt |
| Management And General | $12,219,296 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,944,792 | BOYAmt |
| EOY | $3,209,933 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,507,690 | BOYAmt |
| EOY | $4,098,821 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $605,961 | BOYAmt |
| EOY | $412,190 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,285,035 | BOYAmt |
| EOY | $1,344,420 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,260,260 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,944,446 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,317,726 | BOYAmt |
| EOY | $5,315,814 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,725,099 | BOYAmt |
| EOY | $5,656,155 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,471,848 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,556,862 | BOYAmt |
| EOY | $37,016,120 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,415,013 | BOYAmt |
| EOY | $57,053,453 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,545,495 | BOYAmt |
| EOY | $8,613,656 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $970,417 | BOYAmt |
| EOY | $4,011 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,582,176 | BOYAmt |
| EOY | $42,854,641 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,098,088 | BOYAmt |
| EOY | $51,472,308 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,316,925 | BOYAmt |
| EOY | $5,581,145 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,316,925 | BOYAmt |
| EOY | $5,581,145 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,415,013 | BOYAmt |
| EOY | $57,053,453 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$6,735,780 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $7,511,397 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,939,950 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $13,451,347 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $67,782,663 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $74,831,005 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $67,914,644 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $76,000,277 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $81,787,293 | CurrentTaxYearAmt |
| Total | $368,315,882 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $67,782,663 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $74,831,005 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $75,426,041 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $81,940,227 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $81,787,293 | CurrentTaxYearAmt |
| Total | $381,767,229 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $381,767,229 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $250,170 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $242,985 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $593,905 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,108,805 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,375 | CurrentTaxYearAmt |
| Total | $2,217,240 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $10 | CurrentTaxYearMinus3YearsAmt |
| Total | $10 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $250,170 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $242,995 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $593,905 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,108,805 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,375 | CurrentTaxYearAmt |
| Total | $2,217,250 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $68,032,833 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $75,074,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $76,019,946 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $83,049,032 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $81,808,668 | CurrentTaxYearAmt |
| Total | $383,984,479 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99420 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99350 | PublicSupportPY509Pct |
| Investment Income CY | 0.00580 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00650 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $271,208 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,583 | DepreciationAmt |
| Book Value | $254,625 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,504,450 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,770,619 | DepreciationAmt |
| Book Value | $2,733,831 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,484,602 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,157,244 | DepreciationAmt |
| Book Value | $2,327,358 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,315,814 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| A/R - OTHER | $4,205,426 |
| SECURITY DEPOSITS | $92,840 |
| DUE FROM THIRD PARTIES | $1,862,985 |
| ROU ASSETS | $30,854,869 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $37,016,120 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $3,528,909 |
| DUE TO THIRD PARTY | $442,929 |
| PHYSICIAN BENEFITS PAYABLE | $5,656,155 |
| ROU LEASE LIABILITY | $33,226,648 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $42,854,641 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE CORPORATION FOLLOWS THE PROVISIONS OF FASB ASC 740, INCOME TAXES, RELATING TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ASC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. IT PRESCRIBES AN UNCERTAINTY THRESHOLD AND MEASUREMENT ATTRIBUTES FOR FINANCIAL STATEMENT DISCLOSURE OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALLEN SMITH MD | ||||||||||||||
| PRESIDENT/CEO BEGINNING 1/1/21 | $0 | $847,107 | $0 | $198,688 | $0 | $5,544 | $0 | $158,700 | $0 | $23,878 | $0 | $1,233,917 | $0 | $0 |
| STEPHEN COCO | ||||||||||||||
| TREASURER & CFO THROUGH 11/12/21 | $0 | $520,192 | $0 | $375,000 | $0 | $23,043 | $0 | $8,700 | $0 | $16,366 | $0 | $943,301 | $0 | $0 |
| KIMBERLY DEVER MD | ||||||||||||||
| DIRECTOR, CHIEF OB/GYN | $0 | $619,719 | $0 | $112,914 | $0 | $73,394 | $0 | $8,700 | $0 | $29,209 | $0 | $843,936 | $0 | $0 |
| SERGIO FEFER MD | ||||||||||||||
| PHYSICIAN | $684,354 | $0 | $55,000 | $0 | $1,932 | $0 | $8,700 | $0 | $23,878 | $0 | $773,864 | $0 | $0 | $0 |
| YOUNG KIM MD | ||||||||||||||
| PHYSICIAN | $621,297 | $0 | $25,000 | $0 | $3,612 | $0 | $8,700 | $0 | $16,729 | $0 | $675,338 | $0 | $0 | $0 |
| STEVEN STARR MD | ||||||||||||||
| PHYSICIAN | $576,843 | $0 | $25,000 | $0 | $5,544 | $0 | $8,700 | $0 | $17,921 | $0 | $634,008 | $0 | $0 | $0 |
| KEITH TRACY MD | ||||||||||||||
| PHYSICIAN | $543,278 | $0 | $25,000 | $0 | $1,932 | $0 | $8,700 | $0 | $23,878 | $0 | $602,788 | $0 | $0 | $0 |
| MATTHEW HJORT MD | ||||||||||||||
| PHYSICIAN | $272,692 | $0 | $218,010 | $0 | $1,242 | $0 | $8,700 | $0 | $23,878 | $0 | $524,522 | $0 | $0 | $0 |
| DAVID HALLE MD | ||||||||||||||
| AMBULATORY MEDICAL DIRECTOR | $436,950 | $0 | $52,031 | $0 | $1,932 | $0 | $8,700 | $0 | $23,878 | $0 | $523,491 | $0 | $0 | $0 |
| JOSEPH R DRISCOLL ESQ | ||||||||||||||
| SECRETARY | $0 | $397,252 | $0 | $45,287 | $0 | $17,734 | $0 | $8,700 | $0 | $23,878 | $0 | $492,851 | $0 | $0 |
| PAMELA WHELTON | ||||||||||||||
| TREASURER THRU 8/22/17 | $0 | $34,000 | $0 | $0 | $0 | $354,647 | $0 | $302 | $0 | $0 | $0 | $388,949 | $0 | $354,647 |
| ROSE DIPIETRO | ||||||||||||||
| PRESIDENT/CEO THROUGH 12/31/20 | $0 | $126,869 | $0 | $200,000 | $0 | $0 | $0 | $3,806 | $0 | $0 | $0 | $330,675 | $0 | $0 |
| MICHAEL KAPLAN | ||||||||||||||
| VP OF FINANCE THROUGH 3/31/22 | $239,901 | $0 | $26,916 | $0 | $12,653 | $0 | $7,512 | $0 | $1,126 | $0 | $288,108 | $0 | $0 | $0 |
| JUSTIN CAMPBELL | ||||||||||||||
| DIRECTOR | $0 | $185,099 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $185,099 | $0 | $0 |
| MICHAEL AYERS MD | ||||||||||||||
| CHAIR PROVIDER COU. THRU 12/31/21 | $0 | $114,196 | $0 | $15,000 | $0 | $18,780 | $0 | $3,249 | $0 | $2,700 | $0 | $153,925 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE PRESIDENT OF AMBULATORY CARE RECEIVES COMPENSATION FOR SERVICES PERFORMED FOR A RELATED ORGANIZATION. THE COMPENSATION COMMITTEE OF SOUTH SHORE HEALTH SYSTEM, A RELATED ORGANIZATION, DETERMINES THE PRESIDENT'S COMPENSATION. THE COMPENSATION COMMITTEE MEETS PERIODICALLY AND ENGAGES AN INDEPENDENT EXTERNAL COMPENSATION CONSULTING FIRM TO ESTABLISH THE COMPENSATION OF KEY SYSTEM EMPLOYEES. THE CONSULTING FIRM DEVELOPS AND PRESENTS ALL MATERIALS INCLUDING MARKET TRENDS, COMPENSATION STUDIES AND SURVEYS, AND ADHERES TO BEST PRACTICE GUIDELINES. THE FINAL RECOMMENDATION FOR COMPENSATION CHANGES IS PRESENTED AND APPROVED BY THE ENTIRE INDEPENDENT COMMUNITY OF THE BOARD OF DIRECTORS. |
| PART I, LINE 4A | PAMELA WHELTON RECEIVED A SEVERANCE PAYMENT DURING THE YEAR FOR $354,647 |
| PART I, LINE 7 | THE NON-FIXED PAYMENTS PROVIDED CONSIST OF STIPENDS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | KENNETH KIRKLAND AND THOMAS MCCARTHY HAVE A BUSINESS RELATIONSHIP. IN ADDITION, MANY OF THE PERSONS LISTED IN PART VII HAVE A "BUSINESS RELATIONSHIP" WITH ONE ANOTHER DUE TO THE OVERLAPPING BOARD STRUCTURE OF SOUTH SHORE HEALTH SYSTEM AND ITS RELATED ENTITIES. |
| FORM 990, PART VI, SECTION A, LINE 6 | COASTAL MEDICAL ASSOCIATES, INC. D/B/A SOUTH SHORE PHYSICIAN AMBULATORY ENTERPRISE IS THE SOLE MEMBER OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | OFFICERS AND DIRECTORS ARE ELECTED ANNUALLY BY A BOARD VOTE OF THE SOLE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION'S FORM 990 IS PREPARED INTERNALLY AND REVIEWED BY THE TAX PRACTICE OF ITS INDEPENDENT AUDITORS. THE RETURN IS THEN REVIEWED BY THE CFO/TREASURER. FORM 990 IS UPLOADED TO THE GOVERNING BOARD'S WEB PORTAL FOR ALL BOD MEMBERS TO REVIEW PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST FORM ANNUALLY. THE FORMS ARE THEN REVIEWED FOR CONFLICTS OR POTENTIAL CONFLICTS. BOARD MEMBERS ABSTAIN FROM VOTING ON MATTERS THAT PRESENT A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE PRESIDENT OF AMBULATORY CARE, IS CONSIDERED A SOUTH SHORE HEALTH SYSTEM EXECUTIVE; ALL EXECUTIVE COMPENSATION DECISIONS ARE MADE BY THE SSHS PRESIDENT/CEO, USING THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTOR'S APPROVED PHILOSOPHY AND PAY APPROACH FOR THE EXECUTIVE TEAM. THE COMPENSATION COMMITTEE IS INDEPENDENT AND CONSISTS SOLELY OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH REGARDS TO COMPENSATION MATTERS. ANNUAL COMPENSATION DECISIONS FOR COASTAL (SSPAE) PHYSICIANS AND ADVANCED PRACTICE CLINICIAN EMPLOYEES ARE ALSO MADE BY SSHS AND ARE BASED ON A COMBINATION OF ADVICE AND RESEARCH PROVIDED BY OUTSIDE CONSULTANTS, REVIEW OF COMPARABLE INDUSTRY DATA AND MARKET CONDITIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | SOUTH SHORE MEDICAL CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE FOR INSPECTION AT THE CORPORATION'S OFFICE. COPIES OF THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. IN ADDITION, CERTAIN GOVERNING DOCUMENTS ARE ALSO AVAILABLE THROUGH THE MASSACHUSETTS SECRETARY OF THE COMMONWEALTH'S CORPORATIONS DIVISION DATABASE. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTH SHORE HOSPITAL INC | |||||||||||
| 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 042769210 | HOSPITAL | MA | 501(C)(3) | 3 | SOUTH SHORE HEALTH SYSTEM INC | 0 | |
| SOUTH SHORE HEALTH SYSTEM INC | |||||||||||
| 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 042105926 | SUPPORTS THE CHARITABLE MISSION OF SOUTH SHORE HOSPITAL AND ITS AFFILIATES | MA | 501(C)(3) | 12B, II | 0 | N/A | |
| SOUTH SHORE PROPERTY INC | |||||||||||
| 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 050398822 | DEVELOPS AND MANAGES REAL PROPERTY FOR SOUTH SHORE HOSPITAL | MA | 501(C)(3) | 12A, I | SOUTH SHORE HEALTH SYSTEM INC | 0 | |
| COASTAL MEDICAL ASSOCIATES INC | |||||||||||
| 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 043170333 | PROVIDES SPECIALIZED MEDICAL CARE | MA | 501(C)(3) | 3 | SOUTH SHORE HEALTH SYSTEM INC | 0 | |
| METROSOUTH OBSTETRICS & GYNECOLOGY INC | |||||||||||
| 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 330998957 | PROVIDES SPECIALIZED MEDICAL CARE | MA | 501(C)(3) | 3 | SOUTH SHORE HOSPITAL INC | 0 | |
| ATLANTIC WOMEN'S HEALTH INC | |||||||||||
| 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 200156651 | PROVIDES SPECIALIZED MEDICAL CARE | MA | 501(C)(3) | 3 | SOUTH SHORE HOSPITAL INC | 0 | |
| SOUTH SHORE HEALTH EXPRESS INC | |||||||||||
| 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 452385865 | OPERATES MEDICAL URGENT CARE CENTERS | MA | 501(C)(3) | 10 | COASTAL MEDICAL ASSOCIATES INC | 0 | |
| CONNECTED CARE OF SOUTHEASTERN MASSACHUSETTS INC | |||||||||||
| 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 823503666 | OPERATES AN ACCOUNTABLE CARE ORGANIZATION | MA | 501(C)(3) | 10 | SOUTH SHORE HEALTH SYSTEM INC | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH SHORE HEALTH INTEGRATED DELIVERY NETWORK INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 FOGG RD | AddressLine1Txt |
| City | SOUTH WEYMOUTH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02190 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 852785921 | EIN |
| Primary Activities | TO DEVELOP & MAINTAIN A NETWORK OF PROVIDERS FOR DELIVERY OF HEALTHCARE SER | PrimaryActivitiesTxt |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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